Your Council Most Popular

Your council

Compliment or Complaint form

Please complete all required fields!

All personal information provided to Derbyshire Dales District Council will be held and treated in confidence in accordance with the Data Protection Act 1998. It will only be used for the purpose it was given and never sold to a third party. Some personal data may be shared with trusted partners such as Serco and arvato to enable the Council to respond to you.

Are you contacting us about a(*)

Please choose one option

Your details

Title

Invalid Input

First name(*)

Please enter your forename using letters only

Last name(*)

Please enter your surname using letters only

Address(*)

Please enter your address

Postcode(*)

Please enter a valid postcode

Telephone

Invalid Input

Email

Please enter a valid email address

How would you like us to respond to you?

Email

Telephone

Letter

Please choose a reply type

Compliment/Complaint details

Which service/department does the compliment/complaint relate to?(*)

Please enter the name of the service/department

Would you like to make an informal or formal complaint?

InformalFormal

Invalid Input

Have you told us about this complaint before?

YesNo

Invalid Input

Date & time of incident?

Invalid Input

Compliment/Complaint details?(*)

Please enter your complaint details

How would you like the complaint to be resolved/corrected?(*)

Please let us know how you would like the complaint to be resolved/corrected

Equalities Monitoring Form

Derbyshire Dales District Council aims to promote and ensure equality. It is important, therefore, that we ask the following questions in order to gather information to monitor equal treatment. This information will be kept in accordance with the Data Protection Act 1998.
This personal information will not be used or affect the way your complaint is handled or the outcome of your complaint.

I do not wish to provide any of the equalities information requested.

Please go to the 'submit' button below

Invalid Input

Are you?

Male

Female

Do not wish to answer

Invalid Input

What age were you on your last birthday?

Invalid Input

A disabled person is someone who has a physical or mental impairment which has a substantial and long term adverse effect on their ability to carry out normal day to day activities. Do you consider yourself to have a disability?

No

Yes, affecting mobility

Yes, affecting hearing

Yes, affecting vision

Yes, a learning disability

Prefer not to say

Invalid Input

Ethnic origin - please describe yourself

Invalid Input

Religion or belief

Invalid Input

Sexual orientation

Invalid Input

Is your gender identity different from your gender at birth?

Yes

No

Prefer not to say

Invalid Input

Data Protection

All personal information provided to Derbyshire Dales District Council will be held and treated in confidence in accordance with the Data Protection Act 1998. It will only be used for the purpose stated and will only be shared with our partner organisations, Avarto and Serco, if your complaint relates to services that they provide on our behalf. We may also share the information with the Local Government Ombudsman if you choose to escalate your complaint after completing our process.